Illness prevention and management

5 A’s 

ASK (identify risk factors) 

ASSESS (health literacy and readiness to change, behaviours, beliefs) 

ADVISE (educate on techniques, motivational interviewing, empower and set goals) 

ASSIST (provide options for multidisciplinary care, identify barriers and strategies to overcome them (self management)) 

ARRANGE (follow -up, long term support) 

When assessing risk factors - 

Modifiable 

Non modifiable 

Barriers

Is the patient ready for change? 

contemplating/preparation stage 

Assess readiness using motivational interviewing

Motivational interviewing 

Make sure the pt identifies their own reasons for change 

Support autonomy

Health literacy 

Assess what pt already knows 

Identify gaps where pt needs education and support 

Person centered education

Teach back method

Clarify understanding, re explain if necessary 

SMART Goals

Specific, measurable, attainable, realistic, time bound

CCMP

Person centered, involving pt is her goals 

Actions to be taken, referrals

order for case study notes

Assess health literacy 

Assess readiness to change 

Motivational interviewing 

Empowerment 

SMART goals 

Self management - teach back method 

Follow up